﻿<%@ Control Language="C#" AutoEventWireup="true" CodeBehind="SignUpControl.ascx.cs" Inherits="SPCFMedicineInformer.UserControls.SignUpControl" %>

 <asp:PlaceHolder ID="SignUpPlaceHolder" runat="server">
        <table>
            <tr>
                <td class="pageHeadings" colspan="3"><umbraco:Item ID="aa" field="menuTitle" runat="server" /></td>
            </tr>
            <tr>
                <td align="left" valign="top" colspan="3"></td>
            </tr>
	        <tr>
                <td align="left" width="333" valign="top">
                    <umbraco:Item ID="Item1" field="content" runat="server" />
                    <asp:Literal ID="MsgLiteral" runat="server" Visible="false"></asp:Literal>                        
		            <label for="author">FirstName:</label> <asp:TextBox runat="server" ID="Firstname" CssClass="input_field"></asp:TextBox>
		            <div class="cleaner h10"></div>
													
		            <label for="email">Lastname:</label> <asp:TextBox runat="server" ID="Lastname" CssClass="input_field"></asp:TextBox>
                    <div class="cleaner h10"></div>

                    <label for="email">Address:</label> <asp:TextBox runat="server" ID="Address" CssClass="input_field"></asp:TextBox>
                    <div class="cleaner h10"></div>


                     <label for="email">Date of Birth:</label>
                    <asp:DropDownList ID="ddlMonth" runat="server">
                    </asp:DropDownList>&nbsp;
                    <asp:DropDownList ID="ddlDay" runat="server">
                    </asp:DropDownList>&nbsp;
                    <asp:DropDownList ID="ddlYear" runat="server">
                    </asp:DropDownList>
                    <div class="cleaner h10"></div>


                    <label for="author" >Gender:</label> 
                        <asp:RadioButtonList ID="rdoGender" runat="server" RepeatDirection="Horizontal" RepeatLayout=Table>
		                            <asp:ListItem>Male</asp:ListItem>
		                            <asp:ListItem>Female</asp:ListItem>		    
		                </asp:RadioButtonList>
		            <div class="cleaner h10"></div>

		            <label for="author">Email:</label> <asp:TextBox runat="server" ID="Email" CssClass="input_field"></asp:TextBox>
		            <div class="cleaner h10"></div>
		
                    <label for="author">Confirm Email:</label> <asp:TextBox runat="server" ID="EmailConfirm" CssClass="input_field"></asp:TextBox>
		            <div class="cleaner h10"></div>
        											
		            <label for="email">Password:</label> <asp:TextBox runat="server" TextMode="Password" ID="Password" CssClass="input_field"></asp:TextBox>
                    <label for="email">Confirm Password:</label> <asp:TextBox runat="server" TextMode="Password" ID="ConfirmPassword" CssClass="input_field"></asp:TextBox>
		            <div class="cleaner h10"></div>											

                    <asp:Button runat="server" ID="SubmitButton" Text="Submit" CssClass="form_btns123" onclick="SubmitButton_Click" />
                    
                </td>
                <td align="left" width="60" valign="top"></td>
                <td align="left" width="386" valign="top">
                    	<span class="link3">                      
                            <umbraco:Item ID="Item2" field="companyInfo" runat="server" />
                    </span>
                </td>
            </tr>
        </table>
        																
</asp:PlaceHolder>
    
